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Individual

GINA V EATON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5400 S UNIVERSITY DRIVE, SUITE #207, DAVIE, FL 33328
(954) 370-3335
(954) 370-3353
Mailing address
5400 S UNIVERSITY DRIVE, SUITE #207, DAVIE, FL 33328
(954) 370-3335
(954) 370-3353

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW3884
FL

Other

Enumeration date
06/08/2006
Last updated
07/08/2007
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